Southerncare Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

16471601 Issued in PA

Legal business name

SOUTHERNCARE INC

Practice address

2780 Commerce Dr
Suite 100
Middletown, PA 17057-3245

Phone

(717) 939-2570

Fax

(717) 939-2573

NPI assigned

Jun 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Michael J Pardy

Title

Ceo President

Phone

(205) 868-4400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Southern Care Lancaster Other name

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Southerncare, Inc.

  dba Heartland

  • Community Based Hospice Care Agency
  • Bala Cynwyd, PA
  • NPI 1801595327

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1194763573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 LAKESHORE DR",
            "address_2": "SUITE 475",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096705",
            "telephone_number": "205-868-4400",
            "fax_number": "205-868-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 COMMERCE DR",
            "address_2": "SUITE 100",
            "city": "MIDDLETOWN",
            "state": "PA",
            "postal_code": "170573245",
            "telephone_number": "717-939-2570",
            "fax_number": "717-939-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERNCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "PARDY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "205-868-4400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PA",
            "license": "16471601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008904340001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Care Lancaster",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Samuel R Smith, DC
• Tammy Jo Smith, OTD, OTR/L
• Taylor S Smith
• Taraneh Soleymani, M.D.
• Richard M Solomon, NCMT
• Leslie Stambaugh
• Amanda L Staub, PTA
• Rachel Stephens, PTA
• Erika Stiffler
• Ellen Stoute, RD

• Community Based Hospice Care Agency in Middletown, PA
• Providers in Middletown, PA by specialty
• Community Based Hospice Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.